Treatment outcome and associated factors of fracture distal end radius in Borabue Hospital

Abstract

Introduction : Fracture distal end radius is often found in medical practice. The results of this medical practice have been studied extensively overseas. However, this has not been done in Borabue Hospital.

Objective : To study the result of Fracture distal end radius treatment and the related factors at Borabue hospital.

Method : Analytic study by retrospective data collection was used as the study tool. One hundred and seven patients who were diagnosed fracture distal end radius between January 1st, 2018 and December 31st, 2021 were the subjects of this study. In addition, they were followed-up for one year.

          Results : There were 58 female patients (54.2 percent). Their ages were between 20 and 86 years old. The average age was 48.00 +/-16.18 years old. Forty patients or 37.4 percent were injured at their farms. Sixty-nine patients or 64.5 percent were low energy according to the mechanism of injuries. Sixty-six patients or 61.7 percent were Type 3: Compression fracture of the joint surface. Sixty-one patients or 57.0 percent were treated by casting as the most common treatment. Forty-two patients or 39.3 percent were treated by plating as the second common treatment. Volar comminution was found in fifty-two patients or 48.6 percent. Dorsal comminution was found in seventy patients or 65.4 percent. Moreover, pain was found in eighty-one patients or 75.7 percent at the twelfth week. After one year of follow-up, the study found that the result of the treatment for seventy patients or 65.4 percent were improved. However, the result of the treatment for thirty-seven patients or 34.6 percent were not improved. Ages, places, mechanism of injuries, type of fractures, treatments, Volar comminution, pain at twelfth week were statistically significant factors. Other factors were not statistically significant.  At Injury film, Post reduction and one year of follow up, the three parameters: Radial Height, Radial inclination and Volar tilt were improved significantly.

Conclusion : Fracture distal end radius is often found in medical practice. The results of Fracture distal end radius Treatment in Borabue Hospital was satisfied. In addition, there were some related factors that resulted in a better treatment such as ages, places, mechanism of injuries, type of fractures, treatments, Volar comminution, pain at twelfth week.